Abstract
Linear scleroderma is the most common type of juvenile localized scleroderma, which usually involves the limbs. The linear lesions may extend through the dermis, subcutaneous tissue, muscles, and the underlying bone, leading to significant functional and cosmetic deformities. Renal involvement in juvenile localized scleroderma is a rare manifestation. Here we report two cases with juvenile linear scleroderma and unique renal manifestations, including unilateral renal arterial stenosis and immunoglobulin M nephropathy.
References
Zulian F, Athreya BH, Laxer R, Nelson AM, Feitosa de Oliveira SK, Punaro MG, Cuttica R, Higgins GC, Van Suijlekom-Smit LW, Moore TL, Lindsley C, Garcia-Consuegra J, Esteves Hilário MO, Lepore L, Silva CA, Machado C, Garay SM, Uziel Y, Martini G, Foeldvari I, Peserico A, Woo P, Harper J, Juvenile Scleroderma Working Group of the Pediatric Rheumatology European Society (PRES) (2006) Juvenile localized scleroderma: clinical and epidemiological features in 750 children. An international study. Rheumatology (Oxford) 45:614–620
Martini G, Foeldvari I, Russo R, Cuttica R, Eberhard A, Ravelli A, Lehman TJ, de Oliveira SK, Susic G, Lyskina G, Nemcova D, Sundel R, Falcini F, Girschick H, Lotito AP, Buoncompagni A, Sztajnbok F, Al-Mayouf SM, Orbàn I, Ferri C, Athreya BH, Woo P, Zulian F, Martini G, Foeldvari I, Russo R, Cuttica R, Eberhard A, Ravelli A, Lehman TJ, de Oliveira SK, Susic G, Lyskina G, Nemcova D, Sundel R, Falcini F, Girschick H, Lotito AP, Buoncompagni A, Sztajnbok F, Al-Mayouf SM, Orbàn I, Ferri C, Athreya BH, Woo P, Zulian F, Juvenile Scleroderma Working Group of the Pediatric Rheumatology European Society (2006) Juvenile systemic sclerosis in childhood: clinical and immunologic features of 153 patients in an international database. Arthritis Rheum 54:3971–3978
Peterson LS, Nelson AM, Su WP (1995) Classification of morphea (localized scleroderma). Mayo Clin Proc 70:1068–1076
Peterson LS, Nelson AM, Su WP, Mason T, O'Fallon WM, Gabriel SE (1997) The epidemiology of morphea (localized scleroderma) in Olmsted County 1960–1993. J Rheumatol 24:73–80
Zulian F, Vallongo C, Woo P, Russo R, Ruperto N, Harper J, Espada G, Corona F, Mukamel M, Vesely R, Musiej-Nowakowska E, Chaitow J, Ros J, Apaz MT, Gerloni V, Mazur-Zielinska H, Nielsen S, Ullman S, Horneff G, Wouters C, Martini G, Cimaz R, Laxer R, Athreya BH, Juvenile Scleroderma Working Group of the Pediatric Rheumatology European Society (PRES) (2005) Localized scleroderma in childhood is not just a skin disease. Arthritis Rheum 52:2873–2881
Penn H, Howie AJ, Kingdon EJ, Bunn CC, Stratton RJ, Black CM, Burns A, Denton CP (2007) Scleroderma renal crisis: patient characteristics and long-term outcomes. QJM 100:485–94
Largent JA, Pollara B (1992) Connective tissue disorders and renal disease. In: Edelman CD, Bernstein J, Meadow SR, Spitzer A, Travis LB (eds) Pediatric kidney disease. Little, Brown and Company, Boston, pp 1489–1506
Flynn JT, Woroniecki RP (1968) Pathophysiology of hypertension. In: Avner ED, Harmon WE, Niaudet P (eds) Pediatric nephrology. Lippincot Williams & Wilkins, Philadelphia, pp 1153–1179
Tullis MJ, Caps MT, Zierler RE, Bergelin RO, Polissar N, Cantwell-Gab K, Davidson RC, Strandness DE Jr (1999) Blood pressure, antihypertensive medication, and atherosclerotic renal artery stenosis. Am J Kidney Dis 33:675–681
Kasap B, Türkmen M, Sarioğlu S, Sis B, Soylu A, Kavukçu S (2008) The relation of IgM deposition to clinical parameters and histomorphometry in childhood mesangial proliferative glomerulonephritis. Pathol Res Pract 204:149–153
Bottoni CR, Reinker KA, Gardner RD, Person DA (2000) Scleroderma in childhood: a 35-year history of cases and review of the literature. J Pediatr Orthop 20:442–449
Said R, Hamzeh Y, Said S, Tarawneh M, al-Khateeb M (1992) Spectrum of renal involvement in familial Mediterranean fever. Kidney Int 41:414–419
Harrington CI, Dunsmore IR (1989) An investigation into the incidence of auto-immune disorders in patients with localized morphoea. Br J Dermatol 120:645–648
Thompson DM, Robinson TW, Lennard-Jones J (1974) Alopecia areata, vitiligo, scleroderma and ulcerative colitis. Proc R Soc Med 67:1010–1012
Kulin P, Sybert VP (1986) Hereditary hypotrichosis and localized morphea: a new clinical entity. Pediatr Dermatol 3:333–338
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kasap, B., Soylu, A., Türkmen, M. et al. Juvenile linear scleroderma with unique forms of renal involvement. Pediatr Nephrol 24, 2041–2045 (2009). https://doi.org/10.1007/s00467-009-1206-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00467-009-1206-x